BACKGROUND Coronary endarterectomy (CE) is an alternative for the diffusely diseased left anterior descending (LAD), but its mid and long term results are largely questionable. This study is to compare the early to mid-term results between off-pump and on-pump coronary endarterectomy with coronary artery bypass grafting. METHODS 212 consecutive patients underwent CE and bypass grafting for di...

BACKGROUND It is widely believed that for-profit health plans are more likely than not-for-profit health plans to respond to financial incentives by restricting access to care, especially access to high-cost procedures. Until recently, data to address this question have been limited. METHODS We tested the hypothesis that the rates of use of 12 common high-cost procedures would be lower in for...

CONTEXT Total occlusion of the common carotid is rare and the indications and techniques for surgical treatment are still a matter of controversy. OBJECTIVE To demonstrate the feasibility of retrograde common carotid endarterectomy. DESIGN Retrospective case report study. SETTING Tertiary care private hospital. PARTICIPANTS Three patients underwent ring-stripping retrograde common carot...

BACKGROUND Transesophageal echocardiography is widely used in cardiac surgery. Transesophageal echocardiography probe insertion and manipulation can injure the esophagus. CASE PRESENTATION A 76-year-old Asian man was admitted to our hospital for coronary artery bypass graft revascularization surgery. A right carotid endarterectomy was successfully performed 2 days before coronary artery bypas...

Reoperative aortic valve replacement (AVR) has become increasingly common (1). In patients with previous coronary artery bypass grafting (CABG), minimally invasive reoperative AVR is the preferred approach since it allows the performance of no-touch technique for left internal mammary artery (LIMA) and minimal dissection around the vein grafts (2,3). Here, we present an 83-year-old man with sym...

The aim of this study was to assess whether carotid plaque morphology is an independent predictive factor of stroke and, innovatively, of acute coronary syndrome (ACS). We analyzed morphological aspects of carotid atherosclerotic plaque associated with an increased risk of ACS and stroke. We examined 72 carotid endarterectomy (CEA) specimens obtained between January 2005 and February 2009. All ...

Receptor-mediated endocytosis of oxidized low density lipoprotein (Ox-LDL) by macrophages and the subsequent foam cell transformation in the arterial intima are key events in early atherogenesis. Recently, we have identified a novel macrophage cell-surface receptor for Ox-LDL by expression cloning from a cDNA library of phorbol 12-myristate 13-acetate-stimulated THP-1 cells, designated as the s...

Abstract Background Surgical management of extensively diseased left anterior descending artery (LAD) is challenging. Reconstruction the LAD with endarterectomy may lead to intimal disruption and affect outcomes surgery. We aimed compare hospital surgical reconstruction without endarterectomy. Results This retrospective multicenter study included 275 patients who had from 2015 2019. divided int...